Professional Pharmacy Of Marion
Medical Specialty Clinic/Center in Marion, SC(View on Map)
Legal Business Name
Professional Pharmacy Of Marion
NPI Number
1922288869
NPI Type
Organization
Enumeration Date
11/08/2007
Specialties
(Taxonomies)Licenses
State
South Carolina
License Number
DPE023
Contact
Information
Purpose
Mailing
Location
Address
223 N MAIN ST
223 N MAIN ST
City
Marion
Marion
State
SC
SC
Postal Code
29571-3025
29571-3025
Country
US
US
Telephone Number
(843) 423-1882
(843) 423-1882
Authorized Official
Name
Mr. Thomas Fuller
Title or Position
OWNER/PHARMACIST
Telephone Number
(843) 423-1882
Identifiers
Identifier
DPE023
Identifier State
SC
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/08/2007